COVID-19 Parent Survey 2020-21 Form
Email address *
What is your name?
Student(s) Name(s) and grade level(s):
Parent Name:
E-mail address (optional):
Phone Number:
Do you have Internet connectivity at your home?
Clear selection
Do you have a technology devises (i.e., laptop computer, I-pad, cell phone, Chromebooks, etc.) that can be used to complete school assignments and online courses?
Clear selection
If yes, what device do you have? (i.e., laptop computer, I-pad, cell phone, Chromebooks, etc.)
If the CDC and the Ohio Department of Health say it is okay to attend schools (physically) how likely would you be to send your child(ren) to school?
Clear selection
What factors do you feel are important for students that attend school physically either full-time or part-time?
Please tell us if you support the following option for reopening schools. Students attend school physically ALL days of the week with ALL students present (full-time, normal schedule).
Clear selection
Please tell us if you support the following option for reopening schools. Students attend school physically ALL days of the week, but in part-time shifts to maintain smaller class sizes. (For example: morning in-person instruction at school while afternoons are for distance learning at home.)
Clear selection
Please tell us if you support the following option for reopening schools. Students attend school physically on alternating days while participating in distance learning other days. (For example: Monday, Wednesday, and Friday in-person instruction at school, while Tuesday and Thursday are distance learning at home.)
Clear selection
Please tell us if you support the following option for reopening schools. Offering large-scale, school-sponsored activities. (For example: Marching band, theater performances, concerts, organized sports.)
Clear selection
Please tell us if you support the following option for reopening schools. Staggering drop-off and pick-up times for students to reduce crowding.
Clear selection
Please tell us if you support the following option for reopening schools. Prioritizing the return of elementary students (grades K-6) to physical school campuses, while secondary students (grades 7-12) continue distance learning.
Clear selection
If your child(ren) used Lowellville bus service during the previous 2019-2020 school year, do you plan to continue bus service for the 2020-2021 school year if schools reopen?
Clear selection
Please tell us if you plan on having your child(ren) participate in the school meal program according to the school reopening options listed below. Students eat meals at school while observing CDC social distancing guidelines (physically at school full-time or part-time).
Clear selection
Please tell us if you plan on having your child(ren) participate in the school meal program according to the school reopening options listed below. Students pick up grab-and-go meals to eat at home (physically at school part-time or receiving instruction via distance learning).
Clear selection
If the school campus can physically reopen based on state guidance, will you need before and/or after care for your child(ren)?
Clear selection
Based upon the distance learning this past spring, what suggestions do you think we should keep in mind as we develop plans for the return of school during the 2020-2021 school year? What did we do well and what can we improve?
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of ACCESS. Report Abuse